Netscher David T, Lewis Eric V
Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA.
Tech Hand Up Extrem Surg. 2008 Jun;12(2):114-20. doi: 10.1097/BTH.0b013e3181632d78.
A combination of nonvascularized multiple toe phalangeal transfers, web space deepening, and distraction lengthening may provide excellent function in the child born with the oligodactylous type of symbrachydactyly. These techniques may reconstruct multiple digits, maintaining a wide and stable grip span with good prehension to the thumb. We detail the techniques of each of these 3 stages in reconstruction and describe appropriate patient selection. Potential complications are discussed. However, with strict attention to technical details, these complications can be minimized.
非血管化多趾趾骨移植、虎口加深和牵张延长相结合，可为患有少指型并指短指畸形的患儿提供良好的功能。这些技术可重建多个手指，保持宽阔稳定的抓握跨度，并能与拇指实现良好的抓握。我们详细介绍了这三个重建阶段的技术，并描述了合适的患者选择标准。还讨论了潜在的并发症。然而，只要严格关注技术细节，这些并发症是可以降至最低的。
